Department of Pediatrics, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2021 Apr-Jun;19(74):282-284.
Sydenham's chorea is an uncommon neurological manifestation of rheumatic fever and has many and varied differential diagnosis. It may mimic encephalitis when presents as an isolated feature even when silent cardiac lesions are present. Early diagnosis, treatment and penicillin prophylaxis prevents recurrence and progression of cardiac lesions. Prompt symptomatic relief and alleviation of distress is obtained with therapeutic intervention. A case of rheumatic chorea with silent cardiac valve lesions which mimicked herpes simplex encephalitis with choreoathetosis, in a 13 year old girl is presented along with review of literature.
风湿性舞蹈病是风湿热的一种罕见神经表现，有许多不同的鉴别诊断。即使存在无症状性心脏病变，它也可能表现为孤立特征而类似于脑炎。早期诊断、治疗和青霉素预防可防止心脏病变的复发和进展。通过治疗干预可以迅速缓解症状并减轻痛苦。本文报道了 1 例 13 岁女孩风湿性舞蹈病，伴有无症状性心脏瓣膜病变，表现为舞蹈手足徐动症，类似于单纯疱疹病毒性脑炎，并对文献进行了回顾。
